SOFTWARE REQUEST FORM - Montgomery College

MONTGOMERY COLLEGE
Office of Information Technology
SOFTWARE REQUEST FORM
ACADEMIC SOFTWARE REQUESTS
SUBMISSION TIMELINE
Semester Deadline
Needed for receipt
Spring October 1
Summer March 1
Fall June 1
Check if this is submitted as part of the College’s annual planning and budget process.
For questions regarding classroom or lab software requests, contact:
Doug Griffith, 240-567-3176, Office of Information Technology (OITB)
E-Mail: doug.griffith@montgomerycollege.edu
SEND COMPLETED ACADEMIC REQUESTS TO DOUG GRIFFITH, OITB
For questions regarding office software requests, contact IT Business Services, IT Resource Management:
Requestor Information
Office of Information Technology (OITB), Suite 310, Phone: 240-567-3210
E-mail: itresource.management@montgomerycollege.edu
SEND COMPLETED OFFICE/STAFF REQUESTS TO IT RESOURCE MANAGMENT, OITB 310
Requestor: Date: Ext.:
Contact Person:
Ext.:
Campus: GT RV TP/SS Off-campus Unit/Dept:
Software Information - COMPLETE THIS FORM FOR EACH TITLE REQUESTED.
Software Title:
Publisher (if known):
Version: or Most Recent
LIST BELOW MC# AND LOCATION OF PC/MAC ON WHICH SOFTWARE IS TO BE INSTALLED.
FOR CLASSROOMS, ATTACH A SEPARATE LIST THAT INCLUDES THE INFORMATION BELOW:
MC # Location (Bldg./Room) MC # Location (Bldg./Room)
Check all boxes that apply to your request and answer related questions:
A. This software is for installation on faculty and/or administrative computer workstation(s).
1) No. of copies needed:
2) How many copies will be used by faculty who teach this software
B. This software is for installation on classroom and/or lab workstations. Number of copies needed:
MC Software Request Ver.: December 2012 Page 1 of 2

Justification and impact if not approved (required)
MC Software Request (continued)
Funding
I am requesting this software be purchased with OIT funds.
This software will be purchased with departmental funds. A completed requisition form must be attached.
(NOTE: Short purchase orders, P numbers and Procurement Cards cannot be used to order software.)
This software will be purchased with Grant Funds. Name of Grant:
REQUIRED Signatures:
Contact Person:
Ext.:
Date Requestor (PRINT NAME) / Initial
Approve
Date Supervisor/ Dept. Chairperson (PRINT NAME) / Initial Disapprove
Approve
Date Unit Administrator/Dean (PRINT NAME) / Initial Disapprove
Date
Vice President/Provost (if $500 or over)
(PRINT NAME)
Approve
/ Initial Disapprove
FOR OIT USE ONLY
Request received by IT Business Services, IT Resource Management
Date:
IT Business Services Total Estimated Cost $
MC Software Request Ver.: December 2012 Page 2 of 2